Provider Demographics
NPI:1902683402
Name:HEALTHCARE CREDENTIALING & CONSULTING LLC
Entity Type:Organization
Organization Name:HEALTHCARE CREDENTIALING & CONSULTING LLC
Other - Org Name:CARING & LOVING HOMECARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:463-213-3277
Mailing Address - Street 1:11428 HIGH TIMBER DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46235-6124
Mailing Address - Country:US
Mailing Address - Phone:463-213-3277
Mailing Address - Fax:
Practice Address - Street 1:11428 HIGH TIMBER DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46235-6124
Practice Address - Country:US
Practice Address - Phone:463-213-3277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No332U00000XSuppliersHome Delivered Meals